I migliori ACL podcast (2024)

1
Advanced Airways 7:33

13h ago7:33

7:33

This episode we are reviewing the use of advanced airways in the adult cardiac arrest algorithm. When we should consider insertion of an advanced airway for patients in a shockable vs non-shockable rhythm. In addition to an endotracheal tube (ETT), other ACLS advanced airways include the Laryngeal Mask Airway (LMA) and the Laryngeal Tube airway. Th…

1
Around The ACL E151 49:59

6d ago49:59

49:59

In this week's episode of Around the ACL Meesh Trey and Wally recap Open #4 from Hamilton Ohio and discuss all the first time winners. They play a new game called Fact or Fiction before playing Buy or Sell. Trey and Wally then answer some questions from the viewers and go over possible new shot names before giving their Hole-y Hot Takes. Please lea…

1
Antiarrhythmic Use After ROSC 5:24

4d ago5:24

5:24

Our primary focus immediately following return of spontaneous circulation (ROSC) is aimed at ensuring adequate perfusion of the patient’s vital organs and decreasing cerebral damage. Post-arrest goals for O2 saturation, ETCO2, and BP/MAP. Indications for use of an antiarrhythmic after ROSC. Determining which antiarrhythmic to use post cardiac arres…

1
Hydrogen Ions as a H&T Reversible Cause of Cardiac Arrest 4:36

5d ago4:36

4:36

Hydrogen ions is on one of the Hs in ACLS's H&T reversible causes of cardiac arrest. When considering hydrogen ions as a cause, what we’re looking at is the patient’s pH, or acid/base balance, and conditions that affect it. The body's normal pH. Using patient history, ABGs, & labs to determine acidosis or alkalosis. Common conditions/causes that ma…

1
Code Flow Using the Adult Cardiac Arrest Algorithm 8:32

6d ago8:32

8:32

Being the team leader during a cardiac arrest is challenging. Using an algorithm helps by standardizing & prioritizing our interventions using an If/Then methodology. Review of BLS steps for determining if rescue breathing or CPR is needed and use of an AED for patients in cardiac arrest. If the patient is in a non-shockable rhythm on the ECG such …

1
Medication Review: Aspirin 4:23

7d ago4:23

4:23

For patients exhibiting symptoms consistent with myocardial ischemia, Aspirin is the first medications we should consider along with morphine, oxygen, and nitroglycerine; if indicated & safe. Aspirin's mechanism of action & benefits for Acute Coronary Syndrome (ACS) patients. Contraindications and considerations for aspirin’s use. The dose and rout…

1
First & Third Degree AV Blocks 7:25

8d ago7:25

7:25

To pass ACLS, you will need to be able to identify common rhythms on a monitor during your mega code and ECG strips on your written exam. If you don't normally monitor patients as part of your job, I suggest two things: Find a system for ECG interpretation that works well for you; and Practice reading ECGs every day for a few weeks before your clas…

1
Antiarrhythmics: Lidocaine & Amiodarone 6:43

11d ago6:43

6:43

In the Adult Cardiac Arrest algorithm, we should administer an antiarrhythmic medication to patients in V-Fib or pulseless ventricular tachycardia approximately two minutes after the first dose of epinephrine. The two first-line ACLS antiarrhythmics that are generally used are Amiodarone and Lidocaine. Review of Lidocaine dosing and administration …

1
Nasopharyngeal Airway (NPA) Review 4:56

12d ago4:56

4:56

The tongue is the most common airway obstruction in an unconscious patient. For patients with a decreased level of consciousness that can't control their airway, yet have an intact gag reflex, the nasopharyngeal airway (NPA) should be used as an alternative to the oropharyngeal airway (OPA). Examples of when a NPA should be considered. Contraindica…

1
Tamponade as an H&T Reversible Cause of Cardiac Arrest 5:20

13d ago5:20

5:20

When blood, or other fluids, accumulate in the sac around the heart it’s called a cardiac tamponade or pericardial tamponade. The effects of tamponade on the electrical system and chambers of the heart. Cardiac tamponade can be acute or chronic and caused by traumatic, iatrogenic, or pathological etiologies. Common traumatic events, medical procedu…

1
Around the ACL E150 50:30

13d ago50:30

50:30

On this week's episode of Around the ACL Meesh Trey and Anthony discuss the Open #4 sign ups for Hamilton Ohio and play a clip from the ACL Academy on how to build a high-performability routine. They then discuss their power rankings and answer some more questions from the listeners. As always they end the show by giving their hot takes. Please lea…

1
Team Leader and Use of Quick Reference Cards 5:03

14d ago5:03

5:03

Two things have changed in recent years to aid students that don't use ACLS in their daily practice. 1. The role of the team leader; and 2. The ability to use your quick reference cards. The team leader is responsible for assigning tasks and overall direction of the team but can & should ask team members for help. Using closed-loop communication to…

1
The Importance of Early CPR & Defibrillation 5:32

15d ago5:32

5:32

Two factors to cardiac arrest survivability that have been clearly shown to make the biggest difference is continuous, high-quality CPR and early defibrillation. The most common dysrhythmia present during the first few minutes of cardiac arrest is ventricular fibrillation. The chance of successful defibrillation decreases every minute that passes. …

1
Quantitative Waveform Capnography 5:01

18d ago5:01

5:01

Quantitative waveform capnography is used in ACLS as a way to confirm good CPR and placement of an endotracheal tube; identify return of spontaneous circulation; and during post-cardiac arrest care. We can use waveform capnography with, and without, an advanced airway in place. Monitoring end tidal CO2 during rescue breathing. Use of capnography to…

1
Vagal Maneuvers for Stable Tachycardia Patients 5:37

19d ago5:37

5:37

Patients with a narrow complex tachycardia with a rate over 150 BPM are in SVT. Unstable patients in SVT, or V-Tach with a pulse, should be cardioverted with a synchronized shock. Assessment & treatment of stable tachycardic patients. Commonly used vagal techniques. A less common technique to stimulate the vagus nerve is the dive reflex. Indication…

1
Defibrillation & Synchronized Cardioversion Energy Settings 5:33

20d ago5:33

5:33

Remembering all the different energy setting needed for synchronized cardioversion and defibrillation used to be confusing for a lot of people. Defibrillators can be broken down into three basic categories: 1. Automated External Defibrillator (AED); 2. Biphasic defibrillators; and 3. Monophasic defibrillators. Use of an AED to rapidly deliver a sho…

1
Around The ACL E149 49:19

20d ago49:19

49:19

On this week's episode of Around the ACL Meesh is joined by Jake and Trey as they discuss Open #3 in Little Rock and just exactly how good Devon Harbaugh is right now. They go over the top 10 highlights from the last weekend. Then they answer some listener questions before getting into overreaction Wednesday. Lastly they close out the show by givin…

1
Identification and Treatment of Unstable Bradycardia 5:16

21d ago5:16

5:16

Patients with a heart rate less than 60 are bradycardic. Some people can have a resting heart rate in the 40s without any compromise. For others, a heart rate of 50 or less could signify the need for immediate intervention and warrants additional assessment. Signs & symptoms that indicate a bradycardic patient is unstable. Monitoring oxygen saturat…

1
Post-Arrest Care & Targeted Temperature Management (TTM) 5:13

22d ago5:13

5:13

The goal of CPR is to keep the brain and vital organs perfused until return of spontaneous circulation (ROSC) is achieved. Post-arrest care and recovery are the final two links in the chain of survival. Identification of ROSC during CPR. Initial patient management goals after identifying ROSC. The patient’s GCS/LOC should be evaluated to determine …

1
The Chain of Survival for Cardiac & Stroke Emergencies 5:04

25d ago5:04

5:04

The chain of survival for ACLS is the same as was learned in your BLS class. The beginning steps of the Cardiac Emergency and Stroke chain of survival. ACLS's timed goals for first medical contact to PCI for STEMI and door-to-needle for ischemic stroke. Characteristics of areas that have significantly better stroke and out-of-hospital cardiac arres…

1
Hypokalemia & Hyperkalemia as a H&T Reversible Cause 4:31

26d ago4:31

4:31

Heart muscle contraction and repolarization is dependent on Sodium, Calcium, Magnesium, and Potassium ions crossing cellular membranes. When a patient’s potassium levels get too low or too high, hypokalemia or hyperkalemia results respectively. Two things that may lead us to suspect hypo or hyperkalemia. Medical conditions & medications that can ca…

1
Time Goals for Assessment & Treatment of Stroke 4:58

27d ago4:58

4:58

When treating patients having an MI or stroke, more minutes equals more dead cells. Because the majority of strokes are the ischemic type, the treatment for stroke is similar to an MI – to reestablish perfusion to the ischemic tissues. The first four steps in the Stroke Chain of Survival. Time criteria for the administration of tPA (or a similar fi…

1
Around the ACL E148 49:25

27d ago49:25

49:25

On this week's episode of Around The ACL Michelle, Trey, and Anthony look forward to Open #3 and pick some teams they want to keep a close eye on this weekend. They discuss exciting things coming up from the ACL Academy and go over Anthony and Trey's power rankings. Then they finish the show by playing Buy or Sell and give the Hole-Y Hot Takes.…

1
Medication Review: Adenosine 5:50

28d ago5:50

5:50

Adenosine is the first IV medication given to stable patients with sustained supraventricular tachycardia (SVT) refractory to vagal maneuvers. Symptoms indicating a stable vs unstable patient. Common causes of tachycardia. Cardiac effects of Adenosine. Indications for use in the ACLS Tachycardia algorithm. Considerations and contraindications. Aden…

1
Identification of Second-Degree AV Blocks and Their Treatment 7:19

29d ago7:19

7:19

To pass the written ACLS exam and mega code, students need to be able to identify basic ECG dysrhythmias, including the two types of second-degree heart block. One method of ECG rhythm identification is to ask a series of questions such as: What's the rate (<60, 60-100, 101-149, or >150); Is the rhythm regular or irregular; What's the shape, width,…

1
Oxygen and Pulse Oximetry 4:40

1M ago4:40

4:40

When treating patients with Acute Coronary Syndrome (ACS), MONA is an acronym sometimes used to help us remember the initial interventions. The O in MONA is Oxygen. When we should administer oxygen to ACS patients. When O2 administration is unnecessary based on an accurate pulse ox. Monitoring patient's oxygen saturation (SaO2) using a pulse oximet…

1
Objective Measures of Good CPR 6:40

1M ago6:40

6:40

Along with early defibrillation, high quality CPR with minimal interruptions is one of the two factors that has been shown to improve cardiac arrest outcomes. How do we know if high quality, effective CPR is being performed? Objective measures of high-quality CPR include: Compression rate; Compression depth & recoil; ETCO2; and Chest Compression Fr…

1
Atropine & Dopamine for Unstable Bradycardia 5:54

1M ago5:54

5:54

When we should use the bradycardia algorithm. The signs & symptoms of unstable bradycardia. Atropine's bradycardic dose and maximum. The use of atropine when a patient is in a second degree type II or third degree heart block. ECG changes that indicate subsequent doses of atropine are likely to be ineffective. The starting dose of Dopamine. The use…

1
Around The ACL E147 50:29

1M ago50:29

50:29

On this week's episode of Around The ACL Wally Meesh and Trey recap the Des Moines, Iowa episode and discuss Ryan Traiteur's dominance. They then discuss some sleepers and some disappointments that they found impressive or left more to be desired. Next they play their games from the Baggin and Braggin show before they give their hot takes.…

1
Oropharyngeal Airway (OPA) Review 6:02

1M ago6:02

6:02

The tongue is the most common airway obstruction in an unconscious patient. Insertion an oropharyngeal airway helps keep the patient’s tongue from falling to the back of the pharynx, causing an airway obstruction. The oropharyngeal airway is sometimes called an OPA or simply an oral airway. Indications for using an oral airway. Contraindication for…

1
Hypoxia: An H&T Reversible Cause of Cardiac Arrest 5:52

1M ago5:52

5:52

Hypoxia is a state of low oxygen levels in the blood. Determining hypoxia using a pulse oximeter or arterial blood gasses (ABGs). A goal of ACLS is to recognize signs of hypoxia and provide timely treatment to prevent an arrest. Examples of some things that might lead us to think of hypoxia as a cause of cardiac arrest. Why we should not rely on pu…

1
Supraventricular Tachycardia (SVT) 6:06

1M ago6:06

6:06

ECG characteristics of supraventricular tachycardia (SVT) vs. sinus tachycardia. Signs & symptoms that indicate a patient is unstable. Delivery of a synchronized shock for the treatment of unstable SVT using a biphasic vs monophasic defibrillator. Consideration for team safety while performing synchronized cardioversion. Actions to take immediately…

1
Administration of Epinephrine During Cardiac Arrest 5:11

1M ago5:11

5:11

When working to resuscitate a patient in sudden cardiac arrest, Epinephrine is the first IV medication we administer. When we give the first dose of epinephrine depends on whether the patient is in a shockable or non-shockable rhythm. When to give the first dose of epinephrine and its frequency for patients in asystole or PEA following the right si…

1
Common Stroke Mimics Identification & Treatment 5:58

1M ago5:58

5:58

If a person suddenly develops symptoms such as weakness, slurred or garbled speech, loss of balance, or a massive & severe headache; it’s possible they could be having a stroke. The Cincinnati Prehospital Stroke Scale. There are several conditions that can mimic a stroke. Identification & Treatment of hypoglycemia or hyperglycemia. Identification &…

1
Around The ACL E146 49:22

1M ago49:22

49:22

On this week's episode of Around The ACL Meesh Anthony and Trey discuss Open #2 and the field heading to Des Moines Iowa. They show highlights from the first Open then finish their draft recap. The crew then takes a look at the rookies coming into the next season by playing a rookie version of overrated, underrated or properly rated.…

1
Intraosseous & Endotracheal Tube Route for Medication Administration 5:56

1M ago5:56

5:56

Most ACLS medications are given IV push. But, what happens if we can't get an IV? Why IO is better than ETT as an alternative route. The locations we should place an IO when running a code and a location we should avoid. The ACLS medications that can be given intraosseous. Where you can find more information about intraosseous access during resusci…

1
Around The ACL E145 49:48

2M ago49:48

49:48

On this week's episode of Around the ACL Meesh Jake and Trey discuss the results of the first Open of the season and new pro pairings. Then they recap the rookie showcase and go over a few ACL Teams that were drafted over the weekend. Finally they give their hot takes to end the show.Di Trey Ryder

1
A pro-voter legal strategy 52:07

2M ago52:07

52:07

In 2024, ACLU-PA and our partners have taken a different approach with our legal strategy than in past election cycles. This year, we’ve implemented a proactive strategy to make sure that voters who want to cast a ballot can do so without unnecessary hurdles.Vic Walczak, legal director of the ACLU of Pennsylvania, joins the pod to talk about it. By…

1
What voters really want on immigration and public safety 42:36

2M ago42:36

42:36

In the run up to this year’s election, we here at the ACLU knew that candidates would be talking about the two issues of immigration and public safety. Knowing that was coming, the ACLU has been engaged all year in a research project called Battleground Blueprint. We’ve deployed multiple rounds of surveys in multiple states, including Pennsylvania,…

1
Around the ACL E144 49:28

2M ago49:28

49:28

In this week's episode of Around the ACL Meesh and Trey pick up Wally's slack due to poor internet connection by discussing the first Open this weekend in Rock Hill South Carolina. They go over the ACL Draft and discuss some new teams for the 2024-2025 season. Finally they finish the show with Buy or Sell and give their hot takes for the first Open…

1
Around The ACL E143 50:01

2M ago50:01

50:01

On this week's episode of Around the ACL Wally Meesh and Trey discuss the European Tournament and talk about a few European players to keep an eye on next year at worlds. Then they go over some new partnerships for the 2025 season. Trey explains some new changes for next year in regards to memberships. They close out the show by playing games from …

1
Living With a Criminal History and the Right to Vote in PA 27:48

2M ago27:48

27:48

More than 20 years ago, Pennsylvania’s Commonwealth Court ruled that it was unconstitutional to prohibit people who are living with a criminal record from voting. But misinformation about those rights persists here in Pennsylvania. In this episode, we hear from ACLU-PA executive director Mike Lee and Saleem Holbrook, executive director of Abolition…

1
Around The ACL E142 49:41

2M ago49:41

49:41

In this week's Episode of Around the ACL Meesh Jake and Anthony discuss more partner reveals and how they think some of the new top teams will do. They congratulate more pros that made it through via the last chance qualifier and go over some of the new rule changes for next season. Lastly they finish off the show by playing Contender/Pretender and…

1
Around The ACL E141 50:07

3M ago50:07

50:07

On this week's episode of Around The ACL Meesh Trey and Anthony discuss the upcoming schedule by reviewing the first 6 ACL Open locations. They also go over some of the top shots from the Spencer Makenzie tournament in Ventura California before diving into new partners for the upcoming season. Jamie Graham is a special guest as he joins the show to…

1
Around The ACL E140 49:27

3M ago49:27

49:27

On this week's episode of Around the ACL Meesh and Trey talk about the few partner reveals that have already happened as well as partner reveals they would like to see for the upcoming 2025 season. Next they go over news around the league and preview the rookies for next season. They finish off the show with buy or sell, ACL superlatives and hole y…

1
Around The ACL E139 49:42

3M ago49:42

49:42

On this week's episode of Around The ACL Meesh and Wally bring back the Baggin and Braggin vibes as Wally tries to recover from Spencer Makenzie's. They discuss the results from the Pro Invitational to the Celebrity Crew cup matches and the overall finals. They end the show with their usual games and give their hot takes to put a nice bow on the 20…

1
Around The ACL E138 49:31

3M ago49:31

49:31

On this week's episode of Around the ACL Meesh Trey and Anthony select the teams for the Pro-Invitational and go over the top 10 shots from the ACL World Championships. They also discuss the upcoming Spencer Makenzie Throwdown rosters and go over the celebrities in attendance. They play Buy or Sell to discuss Michelle's chances and then deliver the…

1
Around the ACL E137 50:30

3M ago50:30

50:30

On this week's episode of Around The ACL Meesh Trey and Jake go over the results from the world championships and discuss that there is new all time leader in titles. They then discuss the ACL Pro Invitational contestants that will compete at Spencer Makenzie's. Lastly they go over the new ACL Pros that qualified via the ACL Pro Qualifier before de…

1
Capitol Complex 29:52

4M ago29:52

29:52

The Pennsylvania General Assembly recently wrapped up its work on the new state budget. Elizabeth Randol, ACLU-PA’s legislative director, talks about all that has happened in this session around civil liberties. Liz dives into ACLU-PA’s priority issues, including voting rights, free speech, and decarceration, and also talks about emerging issues th…

1
Around The ACL E136 50:01

4M ago50:01

50:01

On this week's episode of Around the ACL Wally, Michelle and Trey recap the Final Chase 2 from Canton Ohio. They go over the results from the Open as well as the pro events before playing Overrated, Underrated and Properly rated. They list who needs a big weekend at worlds and give their Hole-y Hot Takes.…

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